Evidence map›Paper›PMID 35751499›Full record

ArticleThe International journal of eating disorders2022

Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study.

Alda Troncone, Gaetana Affuso, Crescenzo Cascella, Antonietta Chianese, Barbara Pizzini, Angela Zanfardino, Dario Iafusco, Diabetes Study Group of Italian Society of Paediatric Endocrinology and Diabetology

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in The International journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Alda TronconeDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.ORCID 0000-0002-4641-6314
Gaetana AffusoDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Crescenzo CascellaDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Antonietta ChianeseDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Barbara PizziniDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Angela ZanfardinoDepartment of the Woman, of the Child and of the General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0003-0641-1321
Dario IafuscoDepartment of the Woman, of the Child and of the General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Diabetes Study Group of Italian Society of Paediatric Endocrinology and Diabetology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the prevalence of disordered eating behaviors (DEBs) in a large sample of Italian adolescents with type 1 diabetes and to explore potential demographic, clinical, and psychological differences (understood as emotional and behavioral problems) among adolescents with and without DEBs.

methodAdolescents (11-19 years) with type 1 diabetes completed the Diabetes Eating Problems Survey-revised (DEPS-r) and the Youth Self Report (YSR). Demographic and clinical data were also collected.

resultsOf 690 adolescents with type 1 diabetes (mean age 14.97 ± 1.81, n = 337 girls) assessed in this study, 28.1% (21% boys, 35% girls) were DEPS-r positive (score ≥ 20). Girls had higher DEPS-r total scores (p < .0001, d = .42) than boys, although no age differences were found in mean DEPS-r total scores (p = .961). In both genders, adolescents with DEBs had significantly higher zBMI (p < .0001, d = .52) and HbA1c values (p < .0001, d = .54) and showed more emotional and behavioral problems (both as internalizing and externalizing problems) than those without DEBs (all p < .0001). These differences were largely confirmed in all age groups. Adolescents reporting insulin misuse had higher HbA1c values (p = .001, d = .26), higher DEPS-r mean scores (p < .0001, d = 1.07), and greater psychological problems (all p < .001) than those who did not. DISCUSSION: DEBs are prevalent among adolescents with type 1 diabetes, and those with eating problems showed adverse clinical and psychological conditions. Routine screening for DEBs and of general psychological condition should be a fundamental part of diabetes care, especially during adolescence. PUBLIC SIGNIFICANCE STATEMENT: This nationwide study indicated that DEBs are common in adolescents with T1D, and those suffering from them show poorer clinical conditions and higher emotional and behavioral problems. As such, it offers important contributions for those working with EDs and in the T1D field, as it provides a deeper understanding of the co-occurring DEBs-emotional/behavioral problems in youths with T1D and highlights the importance of continuous monitoring of their psychological condition by a multidisciplinary team.

Indexed as

Diabetes Mellitus, Type 1Feeding and Eating DisordersAdolescentFemaleGlycated HemoglobinHumansInsulinMalePrevalenceGlycated HemoglobinInsulinadolescencedisordered eating behaviorsemotional and behavioral problemstype 1 diabetes

Identifiers

PMID35751499
PMCPMC9544556

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.